N245 remark code
Remittance advice remark code N245. Remark codes add detail to the reason code on the same claim line.
Other insurance plan details invalid
Unofficial reference. This is our own plain-English explanation, not the official code text. Payer rules differ. Verify with the payer and the official X12 code list. AlphaPrefix is not affiliated with X12, CMS or any payer. Data last updated .
What N245 means
The information about the patient's other insurance plan on the claim is incomplete or does not match the payer's records.
When a claim reports other coverage, the payer checks the other plan's name, ID, subscriber and relationship details. N245 means something in that other coverage section was missing or did not fit.
It adds detail to a coordination of benefits or missing information reason code, often 16 or 22.
Common causes
- The other payer's name or ID was left blank or entered incorrectly.
- The subscriber name, ID or birth date for the other policy does not match.
- The patient's other coverage ended, but the claim still lists it.
What to do next
- Confirm the patient's current other coverage and the subscriber details.
- Correct the other payer section on the claim and resubmit.
- Update the patient's insurance file so the error does not repeat on later claims.
- If the other coverage ended, ask the patient to update the payer's records too.
Related codes
- N4 (remark code) Prior payer EOB missing or invalid
- N479 (remark code) Other payer EOB missing for COB
- 22 (reason code) Another payer may be primary
Source
Official wording: X12 Remittance Advice Remark Codes list. The explanation on this page is our own plain-English wording, not the X12 text.
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